Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95

Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Codes 98960/98961/98962

Luz Posted Tue 22nd of September, 2015 11:12:55 AM

This is a two part question. Is it appropriate to use codes 98960/98961/98962,for an educational session on instructing the patient on how to use CPAP therapy for OSA appropriately, assessing the machine setting, the compliance data, settings and the physical set-up of how the patient uses the machine at home on a nightly basis?Second question,is it apropriate for the service to be rendered by a sleep technician and billed as incident-to the physician service? Your input would be greatly appreciated.

SuperCoder Answered Wed 23rd of September, 2015 09:11:45 AM

Well, thanks for your question.

CPT 94660 appears to be most appropriate code for this scenario. Please find below the clinical responsibility for that code.

Yes, the the service can be rendered by a sleep technician and billed as incident-to the physician service? Your input would be greatly appreciated.

Clinical Responsibility

The provider introduces the patient to CPAP treatment. He explains how the device operates, and adjusts the strap's tension to obtain a comfortable and secure fit on the head. He may also allow the use of a humidifier along with the CPAP system.

Luz Posted Thu 24th of September, 2015 08:10:16 AM

Thank you for your reply. I am taking it that it can be done as incident-to. Your answer(below) has a question mark.

Yes, the the service can be rendered by a sleep technician and billed as incident-to the physician service? Your input would be greatly appreciated

Is there a list to can direct me to which procedure/service is billable as incident to?
Again Thank you for your great input and making my job easier.

SuperCoder Answered Mon 28th of September, 2015 09:06:21 AM

I am apologies for my typo error.

There is no specific list for these types of services, but "Incident to" billing frequently occurs in the audiologists and physician’s offices.

Related Topics